According to FIGO 2014 staging, a patient with ovarian carcinoma where tumor cells are found in the peritoneal washings but there is no macroscopic peritoneal disease and the tumor is confined to one ovary with intact capsule is classified as:
- A Stage IC3 ✓
- B Stage IA
- C Stage IC1
- D Stage IIA
Correct answer: A. Stage IC3
Explanation
Under FIGO 2014, Stage IC is divided into: IC1 (surgical spill during operation), IC2 (capsule rupture before surgery or tumor on ovarian surface), and IC3 (malignant cells in ascites or peritoneal washings). Positive peritoneal washings alone, with intact capsule and no spillage, is specifically Stage IC3. Stage IA is tumor limited to one ovary, capsule intact, no surface involvement, negative washings.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
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Written and medically reviewed by the StethoPrep medical team.